ROSEWOOD MEDICAL CENTER – NURSE STATION

10 Rosewood Hospital nurse stationColumbia HCA – Rosewood Medical Center was a 231 bed facility located in Houston, Texas. This nurse station was designed by Caren Burns, a licensed architect located in Houston, Texas, to upgrade the image of a tired facility. Interesting lighting and curved lines worked to improve circulation at an “L” intersection. Nurse stations serve an important service to both the staff and to the public. Hospital’s took on their modern meaning as “an institution where sick or injured are given medical or surgical care” in the 16th century. All of the materials were chosen for low maintenance with high style. From the design of the ceiling to the floor, concentric circles flowed within themselves, defining traffic patterns and creating appealing but soothing imagery. Early healthcare design focused on a term simply stated as the fine hotel concept, which was the goal of this solution in addition to functionally meeting the needs of the nursing staff. Support areas flanked the nurse station. The lighting could be dimmed and was all low voltage. Designed in the early 1990’s, saving energy and utilizing recyclable, green materials, were in their infancy or not a consideration by most designers. The artwork and color palate were all chosen to create an uncluttered visual affect along with a soothing and relaxing atmosphere. The old expression, “You never get a second chance to make a good first impression” applies to health care facilities. Thoughtful design can help ensure the proper first impression is created and sustained.

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KINGWOOD MEDICAL CENTER’S MEDICAL OFFICE MALL

INDOOR PICNIC & SHOPPING AREA

Designed by Caren Burns, a licensed architect located in Houston, Texas; this project was constructed in 1994, the scope of this project was to create dramatic interior space, with a nature walk as the theme, within Kingwood Medical Center’s medical offices mall area. The total size of the area was 50,000 SF. The existing environment was concrete floors, grey painted gypsum board walls, and exposed steel joist ceilings. The design request from the CEO of the Columbia Healthcare – Gulf Coast Division, was to create a space that would attract customers to the hospital. Several design firms were invited to submit solutions. Their solutions resembled prototypical malls. This solution was unique and ahead of its time. Most hospitals were in the process of creating “Fine Hotel Concepts”. I felt that healthcare needed to take a different direction. My philosophy was simple. Hospitals were like a two-legged table. Without the third leg it was incomplete as a healing environment. The first and second legs of the table were surgical and pharmaceutical. What was missing was the spiritual component of the healing process. By creating an environment that incorporated nature as the spiritual component, patients would surly benefit. This was cutting edge thinking at the time. Since then, numerous hospitals are now incorporating nature themes in their design solutions. The overall design solution developed around an indoor “park” theme. Upon entering the mall areas, one would gaze upon rock formations, landscaping, and water ponds adorned with full scale bronze sculptures, playfully interacting with the setting. Also included, was a picnic area. The picnic area was located directly outside of the hospital’s existing cafeteria. The space was designed to have all the elements found in a park. Hanging from the ceiling, kites appeared to be flying in the summer sky. Picnic tables, lamp post and other familiar park elements make up the space. Additionally, an artist was commissioned to create native birds of the gulf coast area. A total of 17 species were created from bamboo and paper. Another mural artist was commissioned to create village shops simulating a village town square. The details were numerous. Even small mice were painted into the setting and goldfish bowls sat in faux window sills. The malls long walk areas were developed into walking trails with benches, lamppost, signage and other park accessories to create a unified link from each of the hospital/mall entry points back to the central water feature. The flooring was customized carpet. In the early 1990’s, new technologies had developed in carpet manufacturing. With the use of computers, carpet designs were created to simulate paths with leaves, cobblestone walkways and a stream with fish and other water creatures. To create the leaves, I actually picked leaves from trees in my yard and scanned them into the computer. Each carpet fiber color was hand selected to add realism. Other personal involvement in the design involved my driving to Galveston and loading my pick-up truck with driftwood. The driftwood was incorporated into the water settings. Additionally, I purchased the kites from a kite store. All of the placement of the design elements were personally placed or directed for placement by me. The existing round columns in the mall were clad with simulated bark. The bark was created by making castings of pine trees. Armstrong vinyl flooring was used to create the picnic area. The concept was a giant blanket. The area next to the mural shops simulated a boardwalk. Water was simulated with the right color choices and repetitive patterns that changed in color to mimic water ripples along a shore line. The water was designed to vignette into the wall mural of a lake setting. A little boy can be seen fishing by the shore line. Kiosks were incorporated into key locations and displayed both a map and directory of the physician’s office locations and notices of interest to patients and visitors to the hospital. A stereo system, with speakers throughout the mall, was placed to further enhance the nature theme. CD sound tracks of birds, weather, flowing water sounds, and frogs all made the experience as real as possible. The colors were selected from rocks used to line the walking trails. Orange, cream and brown was used to paint the protruding walls of the physician leased spaces. The color pallet on the roofs and walls was varied to add interest. Some roofs were brown others were not. The naturally growing moss of the on the rocks were color matched to paint many of the walls. The ceiling used a powder coat paint process, with low VOC paints due to the hospital setting. All painting occurred at night. Collages were created and framed using some of the materials to explain the design concept and construction of the design. These were photographically reproduced and placed in several strategic locations along the walk. The project was very successful. A grand opening was held and over 4,000 people complete with the local news media showed up. I won design awards for the innovative use of the new technologies used to create the carpet from Mannington Carpet Industries. Additional awards were from Armstrong Flooring and several small magazines published articles. The hospital has numerous people from the local neighborhood that walk this mall in lieu of other malls. The space is even booked for weddings. Weddings in the space became such a demand that they had to be limited to only hospital staff or relatives. Visitors come just to see and experience the space and hospital patients walk the area, some with IV poles in tow. To this day, the design has held up well. Maintenance has been minimal.

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GARDENS OF KINGWOOD

ENTRANCE & INFORMATION KIOSK

Vinyl composition tiles were used in innovative patterns to simulate water. The setting vignette into the mural painted to extend the eye and create an even greater illusion of space and realism. A kiosk displays hospital information. An eagle soars above.

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GARDENS OF KINGWOOD

WALKING PATHS

This view shows the one of a kind designed carpet. The blue represents a stream and has fish and other aquatic imagery. The leaves represented native trees such as red oak, pine, sweet gum and ash trees. This kiosk shows the hospitals directory.

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GARDENS OF KINGWOOD

WALKING PATHS

The color of the blue was selected to most match the sky. Several pictures of the sky were photographed and the paint was color matched to the most pleasant choice. Blue birds flock above and lamps light the way.

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GARDENS OF KINGWOOD

WALKING PATHS

Collages on the wall explain to visitors the design concept and how the space was constructed. Larger rock settings were artificially created from concrete and painted to match the real rocks which are the smaller ones around the base of the different outcroppings.

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GARDENS OF KINGWOOD

WALKING PATHS

The paint colors of the physician’s offices reflect the colors of the rocks. Cranes and geese can be seen flying in formation in the distance. The green walls were color matched to natural moss found on the rocks and in the local woods of the gulf coast area.

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AMBULATORY SURGICAL CENTER WAITING ROOM

WAITING ROOM

This reception room, designed by Caren Burns a licensed architect located in Houston, Texas served physicians for an ambulatory surgical center. By providing state-of-the-art architectural and interior design as well as efficient space planning, the resulting design solution developed a wellness place that provides both efficiency and comfort as a product for patients, physicians and staff. Increased efficiency and productivity let doctors see more patients per day and improved daily attitudes and quality of life for all concerned. Designed to be highly efficient without sacrificing patient dignity was important to the physicians. Soothing colors, sophisticated art, complimented with appropriate lighting all combined harmoniously in this previously constructed building. Typical with any existing building columns had to be dealt with. Numerous design and code obstacles had to be overcome in order to put an ambulatory surgical center in an office building.

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AMBULATORY SURGICAL CENTER

ASC PACU

This same ambulatory surgical center recovery area considered the patients needs but did not overlook the requirements of monitoring patients as they recover. This nurse station maintained clear views of the patient as they came from the surgical suite to the recovery area. Designing in an existing office building will have existing structures, which may somewhat limit the facility design. The mechanical, electrical, and plumbing requirements for an ambulatory surgical center are much like the requirements in a hospital, and as a result are quite complex, a heavily regulated process and require special knowledge to design. Additionally, the construction of an ambulatory surgical center is a complex process, which requires knowledgeable and experienced participants at every step in the process. The facility, if not properly planned, can cost much more than necessary, and can thwart the financial success intended. This design solution met the health care needs of the patients by emphasizing safety and quality in a comfortable and efficient setting. The round window in the door provides a view to the operating room in the background. Located on the wall behind the nurse station were the required controls for monitoring the patient’s recovery.

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PHYSICIAN’S CLINIC WAITING ROOM

PHYSICIAN’S OFFICE

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